Dumon J F, Reboud E, Auconte F, Sacco E, Meric B
Minerva Med. 1981 Oct 13;72(39):2593-600.
Various tracheobronchial obstruction indications have been treated with laser yag neodyme with flexible fibre introduced into a bronchofibroscope. Experience covers 44 patients who underwent 75 photocoagulation sessions under local or general anaesthesia. Inoperable tracheo-bronchial tumours are the most frequent and spectacular indications. Malignant tumour, cylindromas, carcinomas and benign tumours are the best indications. Tracheal stenoses were treated in association with instrumental dilatation. The other indications proposed are resections of granulomas, resection of suture threads, extraction of peripheral foreign bodies and control of major haemorrhages. No complications were observed. The immediate effectiveness of this new technique is considerable. Long-term development depends on the aetiology of tracheobronchial stenosis.
多种气管支气管阻塞指征已采用钇铝石榴石激光(YAG)通过引入纤维支气管镜的柔性光纤进行治疗。有44例患者在局部或全身麻醉下接受了75次光凝治疗。无法手术的气管支气管肿瘤是最常见且最引人注目的指征。恶性肿瘤、圆柱瘤、癌和良性肿瘤是最佳指征。气管狭窄与器械扩张联合治疗。提出的其他指征包括肉芽肿切除、缝线切除、外周异物取出和大出血控制。未观察到并发症。这项新技术的即时效果显著。长期疗效取决于气管支气管狭窄的病因。